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Consider the possibility of ovulation and conception prior to initiation of this product [see Contraindications (4)].
If Mirena is not inserted during the first seven days of the menstrual cycle, a barrier method of contraception should be used or the patient should abstain from vaginal intercourse for seven days to prevent pregnancy.
Mirena is recommended for women who have had a child.
Mirena also treats heavy periods in women who choose intrauterine contraception.
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There are not yet any vaccines to prevent infection with dengue virus and the most effective protective measures are those that avoid mosquito bites.
When infected, early recognition and prompt supportive treatment can substantially lower the risk of medical complications and death.
Two subspecies or ecotypes have been described: the plains bison (B. bison), smaller in size and with a more rounded hump, and the wood bison (B. athabascae)—the larger of the two and having a taller, square hump. The wood bison is one of the largest wild species of bovid in the world, surpassed by only the Asian gaur and wild water buffalo.
It is the largest extant land animal in the Americas.